Individual provider Active NPI

Virginia Valentine, CNS

  • Family Health Clinical Nurse Specialist
  • Albuquerque, NM
National Provider Identifier
1740338086
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
CNS00087 Issued in NM
Practice address
6100 Pan American Freeway, NE
Suite 390
Albuquerque, NM 87109-3401
Phone
(505) 823-1805
Fax
(505) 823-1844
NPI assigned
Jan 5, 2007
Last updated
Oct 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X R25515 NM
Family Health Clinical Nurse Specialist 364SF0001X CNS00087 NM Primary

Addresses

Primary practice location

6100 Pan American Freeway, NE
Suite 390
Albuquerque, NM 87109-3401

Mailing address

6100 Pan American Freeway, NE
Suite 390
Albuquerque, NM 87109-3401
Phone (505) 823-1805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000520 NM Practitioner - Certified Clinical Nurse Specialist (CNS) 2062451404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Medical Group LLC CurrentSince Feb 15, 2017 Accepting new patients
Francesco Standoli MD, LLC Past Accepting new patients
Diabetes Network, Inc. Family Health Past Accepting new patients

Locations

4201 Central Ave NW
Ste K3
Albuquerque, NM 87105
Phone (505) 369-1239

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1740338086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN FREEWAY, NE",
            "address_2": "SUITE 390",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093401",
            "telephone_number": "505-823-1805",
            "fax_number": "505-823-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN FREEWAY, NE",
            "address_2": "SUITE 390",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093401",
            "telephone_number": "505-823-1805",
            "fax_number": "505-823-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "VIRGINIA",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "NM",
            "license": "R25515",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NM",
            "license": "CNS00087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.